MR. JESUS AVITIA (NPI# 1780159954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780159954 |
| Entity Type | Individual |
| Full Name | MR. JESUS AVITIA |
| Credential | CADC II |
| Practice Address |
2940 Inland Empire Blvd Ontario CA 91764-4898 |
| Practice Telephone | 9094581350 |
| Mailing Telephone | 9094581350 |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
2940 INLAND EMPIRE BLVD |
| City | ONTARIO |
| State | CA |
| Zip Code | 91764-4898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679619035 | Lovelyn Cruz Santos | Case Manager/Care Coordinator | 2940 Inland Empire Blvd, Ontario, CA 91764-4898 | 2007-01-30 |
| 1457974479 | Amber Lynn Scott | Counselor | 2940 Inland Empire Blvd, Ontario, CA 91764-4898 | 2020-05-26 |
| 1003447442 | Noah Nguyen | Peer Specialist | 2940 Inland Empire Blvd, Ontario, CA 91764-4898 | 2020-02-03 |
| 1134764285 | Vivien Naomi Limon | Peer Specialist | 2940 Inland Empire Blvd, Ontario, CA 91764-4898 | 2019-11-13 |
| 1194360248 | Gerald Lee Wilson | Peer Specialist | 2940 Inland Empire Blvd, Ontario, CA 91764-4898 | 2019-11-13 |
| 1275176364 | Nancy Romero | Marriage & Family Therapist | 2940 Inland Empire Blvd, Ontario, CA 91764-4898 | 2019-10-22 |
| 1548811615 | Kristen Mungcal | Case Manager/Care Coordinator | 2940 Inland Empire Blvd, Ontario, CA 91764-4898 | 2019-09-20 |
| 1922655752 | Matthew Eric Shamlin | Marriage & Family Therapist | 2940 Inland Empire Blvd, Ontario, CA 91764-4898 | 2019-08-26 |
| 1619536547 | Charity Linnet Thomann | Student in an Organized Health Care Education/Training Program | 2940 Inland Empire Blvd, Ontario, CA 91764-4898 | 2019-06-13 |
| 1710441720 | Adebukola Elizabeth Olusanya | Registered Nurse | 2940 Inland Empire Blvd, Ontario, CA 91764-4898 | 2019-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760096952 | Jacqueline Iriart | Behavior Technician | 2930 Inland Empire Blvd St 100, Ontario, CA 91764 | 2020-09-03 |
| 1306459573 | Loremari Samantha Mohr | Assistant Behavior Analyst | 4688 Ontario Mills Parkwar, Ontario, CA 91764 | 2020-08-28 |
| 1023629649 | Yazmin Ramos | Behavior Technician | 4688 Ontario Mills Pwky, Ontario, CA 91764 | 2020-08-17 |
| 1184234999 | Adoniram Morales | Behavior Technician | 4688 Ontatio Mills Parkway, Ontario, CA 91764 | 2020-08-06 |
| 1396395489 | Enhanced Sleep Solutions | Clinic/Center | 2990 E. Inland Empire Blvd. #105, Antonio, CA 91764 | 2019-09-19 |
| 1013561588 | Jaquelyn Herrera | Behavior Technician | 2151 E Convention Center Way Ste #103, Ontario, CA 91764 | 2019-08-01 |
| 1285287995 | Ha Tran Tsai Dental Corporation | Dentist | 1361 East 4th Street, Ontario, CA 91764 | 2019-07-22 |
| 1346702974 | Rocio Sandoval | Behavior Technician | 800 Ferrari Ln Ste 100, Ontario, CA 91764 | 2019-04-02 |
| 1275011678 | Jquana Lucille Dowdy | Behavior Technician | 2903 Inland Empire Blvd, Suite 101, Ontario, CA 91764 | 2018-07-30 |
| 1063917458 | Maria Veronica Heard | Specialist/Technologist | 740 E Princeton St, Ontario, CA 91764 | 2018-03-27 |
| Find all providers in zip 91764 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669990768 | Claudia Juarez Tapia | Counselor | 125 W F Street, Ontario, CA 91762 | 2017-09-08 |
| 1417489949 | Kristopher Reyes | Counselor | 125 W F St Unit 101, Ontario, CA 91762-3201 | 2017-04-03 |
| 1326399510 | Kevin V Chandler | Counselor | 1921 E Banyan St, Ontario, CA 91761-6405 | 2012-09-27 |
| 1376772673 | Elizabeth Diane Roberts | Counselor | 747 N. Euclid Ave, Ontario, CA 91762-2878 | 2009-07-08 |
| 1154576650 | Krystle Lasha Greely | Counselor | 1801 Excise Ave Ste 116, Ontario, CA 91761 | 2008-11-25 |
| 1962655456 | Quan L Hancock | Counselor | 125 W F St Ste 101, Ontario, CA 91762-3262 | 2008-10-28 |
| 1144432162 | Rena Cantu | Counselor | 316 East E Street, Ontario, CA 91764 | 2007-05-03 |
| 1184842122 | Rosemary Yates | Counselor | 125 West F St, Ontario, CA 91762 | 2007-04-23 |
| 1457486573 | Gilford C Hoel | Counselor | 30503 Opus Rd, Ontario, WI 54651-6537 | 2007-02-22 |
| 1871636233 | Norman Croom | Counselor | 1647 Holt Blvd, Ontario, CA 91761-2107 | 2007-02-15 |
| Find all providers in ONTARIO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.